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Request a Mammogram Appointment
Please complete the form below and we will call you to schedule your next mammography appointment at your convenience. You may also call Alta Bates Summit Medical Center at 510-420-6000 for an appointment.


Available Mammography Locations:

Carol Ann Read Breast Health Center
3100 Summit St, Oakland 

Imaging and Mammography Center
5730 Telegraph Avenue, Oakland 

Women's Health Center in Lafayette
3595 Mt. Diablo Blvd, Lafayette 


All personal information will be kept confidential. Fields denoted by (*) are required to be completed.
*First Name:
*First Name:
*Last Name:
*Last Name:
*Email:
*Email:
*Phone:Include area code, for example: 555-555-5555
*Phone:
Include area code, for example: 555-555-5555
Insurance:
Insurance:
Date of Birth:Use MM/DD/YYYY format, for example: 01/30/1965
Date of Birth:
Use MM/DD/YYYY format, for example: 01/30/1965
When is the best time of day to reach you to schedule your appointment? We can call you as early as 7:30 a.m. or as late as 5:00 p.m. Monday through Friday.
When is the best time of day to reach you to schedule your appointment? We can call you as early as 7:30 a.m. or as late as 5:00 p.m. Monday through Friday.